S.1488 - Part D Beneficiary Appeals Fairness Act114th Congress (2015-2016)
|Sponsor:||Sen. Nelson, Bill [D-FL] (Introduced 06/03/2015)|
|Committees:||Senate - Finance|
|Latest Action:||Senate - 06/03/2015 Read twice and referred to the Committee on Finance. (All Actions)|
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Summary: S.1488 — 114th Congress (2015-2016)All Information (Except Text)
Introduced in Senate (06/03/2015)
Part D Beneficiary Appeals Fairness Act
Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act, with respect to a prescription drug plan (PDP) that provides for any tiered cost-sharing within a formulary (including a structure that provides for different co-payment or coinsurance amounts for drugs in different tiers included within the formulary), to authorize a Medicare part D eligible individual enrolled in the plan to request an exception to the tiered cost-sharing structure.
States that in no case may the Secretary of Health and Human Services allow a PDP sponsor to make any element of the tiered cost-sharing structure (including a tier used for very high cost or unique items) ineligible for lower-cost sharing through an exception.